Individual provider Active NPI

Rachel Hendrickson

  • Addiction (Substance Use Disorder) Counselor
  • Struthers, OH
National Provider Identifier
1811649759
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.185592 Issued in OH
Practice address
14 Highland Ave
Struthers, OH 44471-2321
Phone
(330) 787-9180
Fax
(234) 254-8413
NPI assigned
Jan 21, 2022
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 185592 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.185592 OH Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

14 Highland Ave
Struthers, OH 44471-2321

Mailing address

14 Highland Ave
Struthers, OH 44471-2321
Phone (440) 731-7273

Other practice location 1

4531 Belmont Ave Ste 12
Youngstown, OH 44505-1041
Phone (937) 387-6395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
185592OHMDAddiction (Substance Use Disorder) Counselor
CDCA.185592OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Zone Youngstown LLC Addiction (Substance Use Disorder) CurrentSince Aug 25, 2025 Accepting new patients
Red Zone Youngstown LLC Addiction (Substance Use Disorder) CurrentSince Aug 25, 2025 Accepting new patients

Locations

14 Highland Ave
Struthers, OH 44471
Phone (330) 307-3962

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1811649759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HIGHLAND AVE",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444712321",
            "telephone_number": "440-731-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HIGHLAND AVE",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444712321",
            "telephone_number": "330-787-9180",
            "fax_number": "234-254-8413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4531 Belmont Ave Ste 12",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051041",
            "country_code": "US",
            "telephone_number": "937-387-6395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "185592",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.185592",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.